Search icon

COMPREHENSIVE DERMATOLOGY OF IDAHO, PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: COMPREHENSIVE DERMATOLOGY OF IDAHO, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 05 Oct 2011 (14 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 330856
Place of Formation: IDAHO
File Number: 330856
Principal Address: STE 100 16111 N BRINSON ST NAMPA, ID 83687
Mailing Address: STE 100 16111 N BRINSON ST NAMPA, ID 83687-5509

Agent

Name Role Address
RYAN S OWSLEY MD FAAD Agent 2834 S KINGSBURY WAY, EAGLE, ID 83616

Manager

Name Role Address Appointed On
Ryan Owsley Manager 16111 N BRINSON ST, NAMPA, ID 83687 2020-09-10

National Provider Identifier

NPI Number:
1386921294
Certification Date:
2019-12-23

Authorized Person:

Name:
DR. RYAN SCOTT OWSLEY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
2084677500

Filing

Filing Name Filing Number Filing date
Annual Report 0005878498 2024-09-03
Annual Report 0005379169 2023-09-03
Annual Report 0004883666 2022-09-05
Annual Report 0004400932 2021-09-03
Annual Report 0004000987 2020-09-10

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
156400.00
Total Face Value Of Loan:
156400.00

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$156,400
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$156,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$157,621.21
Servicing Lender:
D. L. Evans Bank
Use of Proceeds:
Payroll: $117,300
Utilities: $19,550
Rent: $19,550

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 19 Jul 2025

Sources: Idaho Secretary of State